FORM 1023-EZ for PERFORMANCE 360

Field Data
EIN 47-3197667
Case Number EO-2016055-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERFORMANCE 360
Organization’s Mailing Address 6610 OLD RIDGE ROAD
City WAXHAW
State NC
ZIP 28173-9482
Accounting period End 1
Primary contact name RYAN KNUTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CONRAD SHERLAND
PRESIDENT
6610 OLD RIDGE ROAD
WAXHAW NC 28173-9482

Officer/Director/Trustee Two

RYAN KNUTSON
TREASURER
4014 LAKE PRAIRIE DRIVE
WEDDINGTON NC 28104

Officer/Director/Trustee Three

RANDY WARN ER
SECRETARY
176 VALLEY GLEN DRIVE
WAXHAW NC 28173

Organization’s website N/A
Organization’s email CONRADS@RACEFS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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